| Lakeside Psychological Services, P.C. | |
|
52759 Woodmill Dr Macomb MI 48042-5668 | |
| (586) 677-7860 | |
| (586) 677-7860 |
| Full Name | Lakeside Psychological Services, P.C. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 52759 Woodmill Dr, Macomb, Michigan |
| Authorized Official Name and Position | Carl Eric Alsterberg (OWNER) |
| Authorized Official Contact | 5866777860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Psychological Services, P.C. 52759 Woodmill Dr Macomb MI 48042-5668 Ph: (586) 677-7860 | Lakeside Psychological Services, P.C. 52759 Woodmill Dr Macomb MI 48042-5668 Ph: (586) 677-7860 |
| NPI Number | 1427003375 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427003375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301002887 (Michigan) | Primary |
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